REBECCA DEROSS M.D.
NPI 1447622667
General Acute Care Hospital in Los Angeles, CA

Active since October 27, 2015PECOS Enrolled
1200 N STATE ST, LOS ANGELES, CA 90033(323) 226-2622 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rebecca Deross M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA DEROSS M.D. (NPI 1447622667) is an individual general acute care hospital provider in Los Angeles, California, licensed in California (A138632) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447622667
Entity TypeIndividualFemale
Primary Taxonomy282N00000X
Provider Legal NameREBECCA DEROSSCredential: M.D.
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address1200 N State StLos Angeles, CA 90033-1029 · (323) 226-2622
Sole ProprietorYes
Enumeration DateOctober 27, 2015
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1447622667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · A138632
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1200 N STATE ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Deross M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rebecca Deross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Deross's NPI number?

The NPI number for Rebecca Deross is 1447622667. It was assigned to this individual provider in the NPPES registry on October 27, 2015.

Where is Rebecca Deross located?

Rebecca Deross practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 226-2622.

What is Rebecca Deross's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Rebecca Deross enrolled in Medicare?

Yes. Rebecca Deross is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebecca Deross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Deross reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Deross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rebecca Deross was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.